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-AC-Q .. CERTIFICATE OF LIABILITY INSURANCE o ioaiz D PRODUCER (949)263-0606 FAX (949)263-0906 Complete Insurance, Inc. California DOI #0437762 19000 MacArthur Blvd., PH Flr Irvine, CA 92612-1447 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Van orpe Chou Associates, nc. 295 North Rampart Street, Suite A Orange, CA 92963 INSURERA: Fidelity and Guarantee Ins. Co. INSURERS, Fidelty A Guaranty Ins Co IP43URERG: St. Paul Fire a Marine Ins Co INSURERD (C/O St. Paul) INSURERS: AnPA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANOE POLICY NUMBER POLICYEFFECTIVE DATE IMMIDOMI POLICY EXPIRATION DATE IMMAIDMI LIMITS GENERAL LIABILITY BKOISIO223 07/01/2003 07/01/2004 EACH OCCURRENCE $ 1 000 OQ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED F 5O0,00 CLAIMS MADE OOCCUR M ED EXP(Any m. pxbn) $ 10,00 A PERSONAL It ADV INJURY S 11000, 00 GENERAL AGGREGATE S 2 000,00 I 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X ECO- LOC AUTOMOBILE LIABILITY ANY AUTO BA01464SOO 07/01/2003 07/01/2004 COMBINED SINGLE LIMIT (E.W ftnt) S 1000 00 X B ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS ,L APPROVED eedy S TO FORM BODILY INJURY (Pu pq=w ) s X BODILY INJURY (Pw BcOOSM) X Deputy City Alt ley PROPERTY DAMAGE (Per ACUtl.M) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGO S ANY AUTO P S EXCESSIUMSRFLUUABILITY BKOISI0223 07/01/2003 07/01/2004 EACH OCCURRENCE s 1,000,000 X OCCUR CLAIMS MADE AGGREGATE S 1,000,000 A s S DEDUCTIBLE S RETENTION S WORKERS COMPENSATION AND WVA$004695 07/01/2003 07/01/2004t OTH- EMPLOYERS' LWIUTY ANYCERIMEMBEREXCLUDED? CUTNE OFFICERNEMBER EXCLUDED'! ryas d.. rbe undw SPECIAL PROVISIONS W. ENT S 1 OOO OO A EMPLOYE S 1.000 00 OLICY LIMIT S 1000 0OTHER notice applies to -payment and/or on -reporting DESCRqPYPNOFOP RAn NSJL TION IVRIICLE / EXCLUSIONS ADDED BY ENDORSEMENTJ SPEC RQYISI :erticate �iol er �s ad itlona� insured as respects generaPlTabiTi ty but only if required by written :ontract with the named insured prior to an occurence and as per coverage form CL/BF21810401. Waiver of iubrogation endt. WC040306 included as respects Work Cony only. Coverage subject to all policy terms, :onditions and limitations. City of Santa Ana, and its officers, agents, employees a volunteers Office of City Attorney P.O. Box 1988 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS ACORD 26 (2001/08) CACORD CORPORATION 1988